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HISD Benefits Office

Bringing Benefits To Life

2018 Plan and Legal Documents

Benefits Dept. Guides

2018 New Hire Booklet

HISD-135-2017_2018NewHireBooklet_R22-02232018.pdf 2.56 MB (Last Modified on October 29, 2018)

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Accident

Aflac Accident High Certificate

HISD_2016_Acc_Cert_High_101216.pdf 196.21 KB (Last Modified on August 13, 2018)

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Aflac Accident High Dependent Rider

HISD_2014_AFLAC_Accident_High_Plan_Dependent_Rider.pdf 138.15 KB (Last Modified on August 13, 2018)

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Aflac Accident Low Certificate

HISD_2016_Acc_Cert_Low_101216.pdf 196.12 KB (Last Modified on August 13, 2018)

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Aflac Accident Low Dependent Rider

HISD_2014_AFLAC_Accident_Low_Plan_Dependent_Rider.pdf 265.88 KB (Last Modified on August 13, 2018)

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Cancer & Specified Diseases

Aflac Cancer High Certificate

HISD_2017_CA_Cert_High_101216.pdf 884.32 KB (Last Modified on August 13, 2018)

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Aflac Cancer Low Certificate

HISD_2017_CA_Cert_Low_101216.pdf 885.35 KB (Last Modified on August 13, 2018)

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Critical illness

Critical illness

HISD_2017_CI_Cert_101216.pdf 922.44 KB (Last Modified on August 13, 2018)

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Dental

2018 Cigna Dental HMO Basic Plan

2018_Cigna_Dental_HMO_Basic_Plan.pdf 79.24 KB (Last Modified on August 13, 2018)

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2018 Cigna Dental HMO Plus Plan

2018_Cigna_Dental_HMO_Plus_Plan.pdf 160.73 KB (Last Modified on August 13, 2018)

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Hospital Indemnity

Aflac Hospital Indemnity High Certificate

HISD_2017_SHI_Cert_High_101216.pdf 865 KB (Last Modified on August 13, 2018)

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Aflac Hospital Indemnity Low Certificate

HISD_2017_SHI_Cert_Low_101216.pdf 865.8 KB (Last Modified on August 13, 2018)

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Life & AD&D/travel assistance

2018 Minnesota Life Certificate

HISD_2018_Grp_Term_Life_Certificate.pdf 499.58 KB (Last Modified on August 13, 2018)

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RedPoint Travel Assistance

HISD_2017_Travel_Assistance_Services_Handout.pdf 428.91 KB (Last Modified on August 13, 2018)

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Personal Legal

Hyatt Legal Benefit Definitions and Reimbursements

HISD_2017_Hyatt_Legal_Plans.pdf 116.62 KB (Last Modified on August 13, 2018)

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Hyatt Legal Plan Fee Reimbursement Schedule

HISD_2017_FeeReimbursementSchedule.pdf 161.66 KB (Last Modified on August 13, 2018)

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Hyatt Legal Plan Summary

HISD_2017_Hyatt_legal_Summary_Plan_Description.pdf 176.71 KB (Last Modified on August 13, 2018)

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Legal Documents

HISD Legal Notices 2018

2018 Legal Notices FINAL.pdf 470.17 KB (Last Modified on June 18, 2019)

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Disability

UNUM Certificate of Coverage

UNUM Certificte of Coverage.pdf 202.55 KB (Last Modified on December 10, 2020)

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Prescription Drugs 4th quarter

2018 Consumer Plan National Alpha with Exclusions

National Preferred Alpha with Exclusions 4TH Quarter 2018 Alpha recd 10-29-2018.pdf 82.53 KB (Last Modified on October 31, 2018)

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2018 Select Plan High Performance Formulary

High Performance Formulary 4TH Quarter 2018 Alpha recd 10-29-2018.pdf 51.22 KB (Last Modified on October 31, 2018)

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Prescription Drugs

2018 Express Scripts High Performance -Alpha_SelectPlans

ESI_High_Performance_Alpha_PRMT1703A-18.180101.pdf 55.68 KB (Last Modified on August 13, 2018)

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2018 Express Scripts National Preferred Drug List - Alpha

National_Preferred_Alpha_PRMT22157-18.180101.pdf 52.54 KB (Last Modified on August 13, 2018)

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2018 National Preferred Formulary_Exclusion

2018_National_Preferred_Formulary_Exclusions_01-01-2018.pdf 46.09 KB (Last Modified on August 13, 2018)

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Creditable Coverage - Medicare Part D

2018_HISD_Notice_of_Creditable_Coverage_-_Medicare_Part_D_final.pdf 115.91 KB (Last Modified on August 13, 2018)

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Noncreditable Coverage - Medicare Part D

2018_HISD_Notice_of_NonCreditable_Coverage_Discount_Plan_-_Medicare_Part_D_final.pdf 120.18 KB (Last Modified on August 13, 2018)

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Vision

EyeMed Vision Mobile App Infographic

ISD-2017_EyeMed_Members_App_Infographic.pdf 928.37 KB (Last Modified on August 13, 2018)

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Vision High Plan Certificate

HISD_2017_High_Plan_Vision_Certificate_101216.pdf 612.08 KB (Last Modified on August 13, 2018)

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Vision High Plan Summary

HISD_2017_High_Plan_Vision_Summary_101216.pdf 293.23 KB (Last Modified on August 13, 2018)

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Vision Low Plan Certificate

HISD_2017_Low_Plan_Vision_Certificate_101216.pdf 612.15 KB (Last Modified on August 13, 2018)

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Vision Low Plan Summary

HISD_2017_Low_Plan_Vision_Summary_101216.pdf 293.15 KB (Last Modified on August 13, 2018)

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Wellness

Wellness Plan Notice

Wellness_EEOC_Notice_May_23_2017_GSargent_Final.pdf 148.02 KB (Last Modified on August 13, 2018)

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Medical

2018 Summary Plan Description (SPD) - Select Plan

SELECT FINAL.pdf 1.3 MB (Last Modified on February 26, 2019)

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2018 Summary Plan Description (SPD) - Plus Limited

PLUS Limited FINAL .pdf 1.37 MB (Last Modified on February 26, 2019)

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2018 Summary Plan Description (SPD) - Plus Choice

Plus Choice FINAL .pdf 1.46 MB (Last Modified on February 26, 2019)

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2018 Summary Plan Description (SPD) - Open Access

Open Access FINAL .pdf 1.41 MB (Last Modified on February 26, 2019)

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2018 Summary Plan Description (SPD) - Basic Limited

Basic Limited FINAL .pdf 1.25 MB (Last Modified on February 26, 2019)

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2018 Summary Plan Description (SPD) - Basic Choice

Basic Choice FINAL .pdf 1.48 MB (Last Modified on February 26, 2019)

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2018 Houston ISD_Basic Choice Summary of Benefits

2018_Houston_ISD_Basic_Choice_Summary_of_Benefits.pdf 492.26 KB (Last Modified on August 13, 2018)

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2018 Houston ISD_Basic Limited Summary of Benefits

2018_Houston_ISD_Basic_Limited_Summary_of_Benefits.pdf 491.33 KB (Last Modified on August 13, 2018)

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2018 Houston ISD_Open Access Summary of Benefits

2018_Houston_ISD_Open_Access_Summary_of_Benefits.pdf 486.24 KB (Last Modified on August 13, 2018)

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2018 Houston ISD_Plus Choice Summary of Benefits

2018_Houston_ISD_Plus_Choice_Summary_of_Benefits.pdf 492.08 KB (Last Modified on August 13, 2018)

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